Encounter Corrections Analyst
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About The Position
At CVS Health, we are committed to delivering enhanced human-centric health care, and as an Encounter Corrections Analyst, you will play a vital role in this mission. This full-time telework position allows qualified candidates to work from any state in the U.S. The primary responsibility of the Encounter Corrections Analyst is to review and correct encounters through the Edifecs system, ensuring compliance with all relevant guidelines. You will also adjudicate complex, sensitive, and specialized claims using the claims QNXT system. In this role, you will be tasked with researching and resolving encounter errors, ensuring that all compliance requirements are met. You will identify and report any potential claim overpayments, underpayments, scanning issues, and other irregularities that may arise during the claims process. Your analytical skills will be crucial as you navigate through rejected claims and work to ensure accurate processing. The position requires the ability to handle multiple assignments competently and efficiently, demonstrating proficiency in using personal computers and MS Office Suite applications. The shift for this position is from 6:00 AM to 4:30 PM Mountain Standard Time, providing a structured work schedule that aligns with our operational needs. As part of our commitment to our employees, we offer a comprehensive benefits package that includes medical, dental, and vision coverage, as well as a 401(k) retirement savings plan and an Employee Stock Purchase Plan for eligible employees. We also provide a fully-paid term life insurance plan, short-term and long-term disability benefits, and various well-being programs to support our employees' health and wellness. Join us at CVS Health, where your contributions will help transform our culture and accelerate our ability to innovate and deliver solutions that make health care more personal, convenient, and affordable.
